Organization Active NPI

North Central Texas Physical Medicine & Rehabilitation PA

  • Physical Medicine & Rehabilitation Physician
  • Frisco, TX
National Provider Identifier
1043261787
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NORTH CENTRAL TEXAS PHYSICAL MEDICINE & REHABILITATION PA
Practice address
4461 Coit Rd
Suite 301
Frisco, TX 75035-0521
Phone
(214) 619-5425
Fax
(214) 619-5427
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary L Caire, MDNPI 1649245754
Title
Owner
Phone
(214) 619-5425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4461 Coit Rd
Suite 301
Frisco, TX 75035-0521

Mailing address

9720 Coit Rd # 220-262
Plano, TX 75025-5833
Phone (214) 619-5425

Other identifiers 3

IdentifierTypeStateIssuer
DC9032OtherMEDICARE RR GROUP NUMBER
0080KZOtherTXBCBS GROUP NUMBER
164699401MedicaidTX

National Provider Directory

National Provider Directory

Locations

2250 S FM 51
Ste 600
Decatur, TX 76234
Phone (940) 627-0060

2000 S FM 51
#2400
Decatur, TX 76234

4461 Coit Rd
Ste 405
Frisco, TX 75035
Phone (972) 377-9200

9720 Coit Rd
#220262
Plano, TX 75025

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1043261787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 COIT RD # 220-262",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255833",
            "telephone_number": "214-619-5425",
            "fax_number": "214-619-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 COIT RD",
            "address_2": "SUITE 301",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350521",
            "telephone_number": "214-619-5425",
            "fax_number": "214-619-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL TEXAS PHYSICAL MEDICINE & REHABILITATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "CAIRE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-619-5425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP NUMBER",
            "identifier": "DC9032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0080KZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164699401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.